The undersigned person requests permission to make use of the building, grounds and/or equipment of the Boone Unitarian Universalist Fellowship for the intended purpose as described on the attached Facility Use Agreement. In consideration of “permission entry” to the building, the undersigned, his/her representatives, heirs and assignees, DO HEREBY:

1) RELEASE, DISCHARGE AND COVENANT NOT TO SUE the Boone Unitarian Universalist Fellowship, the Thomas Jefferson District of the Unitarian Universalist Association, and /or the Unitarian Universalist Association for any and all claims and liability arising out of the strict liability or ordinary negligence of releasees or any other use of the building which causes the undersigned or any guest injury, death, or property damage, and further agrees to hold releasees harmless and indemnify releasees from any claim, judgment, or expenses which may be incurred by participation in the afore described event.

2) UNDERSTAND that any inherent danger or risk of injury related to the afore described event is voluntarily assumed.

3) ACKNOWLEDGE that the undersigned is aware of equipment and safety regulations and will comply with each regulation assuming all risk for themselves and all liability to others for failure to do so.

No oral Representation or inducements have been made to obtain signature of this agreement. If any portion of this agreement is held invalid it is agreed that the balance thereof shall continue in full and legal force & effect.

I HAVE READ THIS DOCUMENT AND UNDERSTAND IT IS A RELEASE OF ALL CLAIMS. I UNDERSTAND AND ASSUME ALL RISK INHERENT TO THIS ACTIVITY. I VOLUNTARILY SIGN MY NAME EVIDENCING MY ACCEPTANCE OF THESE PROVISIONS.